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Export Provider Record NPI 1134249683
Vision Source Of Hugo, Inc.
Organization Subpart: NO
Active
NPI Number1134249683
NPI TypeNPI-2 Organization
SpecialtyOptometrist
Provider Details
NPI1134249683
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-03-29
Last Updated2008-04-24
Authorized OfficialGinny Edwards
office manager
Phone: 5803263319
Mailing Address806 E Jackson St
Hugo, OK 74743-4222
United States
Phone: (580) 326-3319 | Fax: (580) 326-3310
📍 View Map
Primary Practice Address806 E Jackson St
Hugo, OK 74743-4222
United States
Phone: (580) 326-3319 | Fax: (580) 326-3310
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOK100766690A-
Other (non-Medicare)OKP00331640Railroad Medicare
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes152W00000X – OptometristOK2096
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About NPI 1134249683

Vision Source Of Hugo, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1134249683. The primary specialty listed is Optometrist. The organization is located in Hugo, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1134249683?

NPI 1134249683 belongs to Vision Source Of Hugo, Inc., a Optometrist in Hugo, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1134249683 active?

The current status of NPI 1134249683 in the NPPES registry is Active. The record was last updated on 2008-04-24.

What specialty is NPI 1134249683?

NPI 1134249683 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1134249683?

You can verify NPI 1134249683 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1134249683?

The primary practice address on file for NPI 1134249683 is 806 E Jackson St, Hugo, OK 74743-4222. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1134249683 issued?

NPI 1134249683 was first issued (enumerated) on 2007-03-29. The NPPES record was last updated on 2008-04-24.

Practice Location Map

Vision Source Of Hugo, Inc. is located at 806 E Jackson St, Hugo, OK. Use the map below to find directions or verify the practice location.

📍 806 E Jackson St, Hugo, OK 74743-4222  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Vision Source Of Hugo, Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1134249683. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Optometrist2096OK
Data Verified from CMS NPPES Last synced: 2026-08-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162